Individual provider Active NPI

Khan Ramkeesoon, LMFT106719

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1275997041
Registry record updated Dec 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106719 Issued in CA
Practice address
5199 E Pacific Coast Hwy Ste 312N
Long Beach, CA 90804-3344
Phone
(562) 310-0111
NPI assigned
Apr 7, 2016
Last updated
Dec 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF76880 CA
Marriage & Family Therapist 106H00000X 106719 CA Primary

Addresses

Primary practice location

5199 E Pacific Coast Hwy Ste 312N
Long Beach, CA 90804-3344

Mailing address

5199 E Pacific Coast Hwy Ste 312N
Long Beach, CA 90804-3344
Phone (562) 310-0111

Other practice location 1

119 S La Jolla Ave
Los Angeles, CA 90048-3529
Phone (310) 576-1878

Other practice location 2

5500 E Atherton St Ste 325
Long Beach, CA 90815-4025
Phone (562) 310-0111

Other practice location 3

5150 E Pacific Coast Hwy Ste 100
Long Beach, CA 90804
Phone (562) 498-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106719CAMDMarriage & Family Therapist
IMF76880CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609027200000",
    "number": "1275997041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5199 E PACIFIC COAST HWY STE 312N",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043344",
            "telephone_number": "562-310-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 E PACIFIC COAST HWY STE 312N",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043344",
            "telephone_number": "562-310-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 S La Jolla Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900483529",
            "country_code": "US",
            "telephone_number": "310-576-1878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 E Atherton St Ste 325",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908154025",
            "country_code": "US",
            "telephone_number": "562-310-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5150 E Pacific Coast Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90804",
            "country_code": "US",
            "telephone_number": "562-498-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMKEESOON",
        "first_name": "KHAN",
        "credential": "LMFT106719",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF76880",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.